Mandated counseling, also known as court-ordered therapy or coerced treatment, presents a significant challenge for mental health professionals who must navigate the double role dilemma—balancing their responsibilities as therapists and legal enforcers. Unlike voluntary counseling, mandated therapy requires individuals to engage in treatment under judicial orders, often leading to client resistance, ethical dilemmas, and therapist burnout. This review examines the complexities of therapist-client relationships in mandated settings, emphasizing the impact of confidentiality constraints, trust issues, and legal obligations on therapeutic outcomes. The review synthesizes literature on engagement strategies such as motivational interviewing (MI), cognitive-behavioural therapy (CBT), and trauma-informed care, which have proven effective in reducing client defensiveness and fostering compliance. Furthermore, it explores jurisdictional differences in mandated counseling frameworks across the developed countries, providing insights into the effectiveness of rehabilitative versus punitive approaches. Additionally, this paper highlights the impact of mandated counseling on therapist well-being, examining how emotional strain, ethical conflicts, and role ambiguity contribute to burnout and professional dissatisfaction. Recommendations include supervision, professional development, and policy adaptations to enhance the effectiveness of mandated interventions. By addressing key ethical, psychological, and systemic challenges, this review contributes to ongoing discussions on best practices for mandated counseling, aiming to balance legal compliance with ethical therapeutic care.
References
[1]
Alexander, J. F. (2023). Functional Family Therapy for High-Risk Adolescents. Psychography Dataset. https://doi.org/10.1037/v01013-001
[2]
Appelbaum, P. S. (2002). Privacy in Psychiatric Treatment: Threats and Responses. American Journal of Psychiatry, 159, 1809-1818. https://doi.org/10.1176/appi.ajp.159.11.1809
[3]
Asa, S. (2021). The Study on Additional Criminal Imposition through Counseling Compliance in Domestic Violence Crime. Journal of Law and Legal Reform, 2, 553-568. https://doi.org/10.15294/jllr.v2i4.48113
[4]
Attiah, A. A. (2023). Cognitive Behavioral Therapy Treatment for Drug Addiction. Journal of Addiction Therapy and Research, 7, 5-7. https://doi.org/10.29328/journal.jatr.1001025
[5]
Barnao, M. (2013). The Good Lives Model Tool Kit for Mentally Disordered Offenders. The Journal of Forensic Practice, 15, 157-170. https://doi.org/10.1108/jfp-07-2012-0001
[6]
Bateman, A., & Fonagy, P. (2019). Handbook of Mentalizing in Mental Health Practice. American Psychiatric Association Publishing.
[7]
Boyd, K. (1996). Power Imbalances and Therapy. Focus, 11, 1-4. https://pubmed.ncbi.nlm.nih.gov/11363821
[8]
Brodsky, S. L., & Lichtenstein, B. (1999). Don’t Ask Questions: A Psychotherapeutic Strategy for Treatment of Involuntary Clients. American Journal of Psychotherapy, 53, 215-224. https://doi.org/10.1176/appi.psychotherapy.1999.53.2.215
[9]
Cohen, J. A., Mannarino, A. P., & Kinnish, K. (2015). Trauma-Focused Cognitive Behavioral Therapy for Commercially Sexually Exploited Youth. Journal of Child & Adolescent Trauma, 10, 175-185. https://doi.org/10.1007/s40653-015-0073-9
[10]
Dill, P. L., & Wells‐Parker, E. (2006). Court-Mandated Treatment for Convicted Drinking Drivers. Alcohol Research & Health, 29, 41-48. https://pubmed.ncbi.nlm.nih.gov/16767853
[11]
Durocher, E., & Kinsella, E. A. (2021). Ethical Tensions in Occupational Therapy Practice: Conflicts and Competing Allegiances. Canadian Journal of Occupational Therapy, 88, 244-253. https://doi.org/10.1177/00084174211021707
[12]
Dyer, W. W., & Vriend, J. (1977). A Goal-Setting Checklist for Counselors. The Personnel and Guidance Journal, 55, 469-471. https://doi.org/10.1002/j.2164-4918.1977.tb04325.x
[13]
Ellis, A. (1997). Extending the Goals of Behavior Therapy and of Cognitive Behavior Therapy. Behavior Therapy, 28, 333-339. https://doi.org/10.1016/s0005-7894(97)80078-0
[14]
Fong, C., & Tripathi, S. (2021). Multicultural Workplace Counselling and the Impact of Wealth, Health, Ability and Time (WHAT) on Mental Health under COVID-19 Pandemic. Psychology, 12, 1743-1755. https://doi.org/10.4236/psych.2021.1211105
[15]
Freud, S. (1915). The Unconscious. In J. Strachey (Ed. & Trans.), The Standard Edition of the Complete Psychological Works of Sigmund Freud (Vol. 14, pp. 159-204). Hogarth Press.
[16]
Gabbard, G. O. (2020). Psychodynamic Psychiatry in Clinical Practice (5th ed.). American Psychiatric Publishing.
[17]
Gilbert, S. P., & Sheiman, J. A. (1995). Mandatory Counseling of University Students. Journal of College Student Psychotherapy, 9, 3-21. https://doi.org/10.1300/j035v09n04_02
[18]
Gold, J. M. (2008). Rethinking Client Resistance: A Narrative Approach to Integrating Resistance into the Relationship‐Building Stage of Counseling. The Journal of Humanistic Counseling, Education and Development, 47, 56-70. https://doi.org/10.1002/j.2161-1939.2008.tb00047.x
[19]
Gopalkrishnan, N. (2018). Cultural Diversity and Mental Health: Considerations for Policy and Practice. Frontiers in Public Health, 6, Article 179. https://doi.org/10.3389/fpubh.2018.00179
[20]
Hachtel, H., Vogel, T., & Huber, C. G. (2019). Mandated Treatment and Its Impact on Therapeutic Process and Outcome Factors. Frontiers in Psychiatry, 10, Article 219. https://doi.org/10.3389/fpsyt.2019.00219
[21]
Harding, R. (2001). Book Review: Coordinating Community Responses to Domestic Violence: Lessons from Duluth and Beyond. International Social Work, 44, 383-384. https://doi.org/10.1177/002087280104400309
[22]
Hoge, R. D. (2001). A Case Management Instrument for Use in Juvenile Justice Systems. Juvenile and Family Court Journal, 52, 25-32. https://doi.org/10.1111/j.1755-6988.2001.tb00041.x
[23]
Honea-Boles, P., & Griffin, J. E. (2001). The Court-Mandated Client: Does Limiting Confidentiality Preclude a Therapeutic Encounter? TCA Journal, 29, 149-160. https://doi.org/10.1080/15564223.2001.12034592
[24]
Kastrup, M. (2008). Staff Competence in Dealing with Traditional Approaches. European Psychiatry, 23, s59-s68. https://doi.org/10.1016/s0924-9338(08)70063-4
[25]
Keng Yeow, L. (2018). Court Processes and Orders for Positive Outcomes. Asia Pacific Journal of Social Work and Development, 28, 143-146. https://doi.org/10.1080/02185385.2018.1488607
[26]
Kim, S. (2010). A Story of a Healing Relationship: The Person-Centered Approach in Expressive Arts Therapy. Journal of Creativity in Mental Health, 5, 93-98. https://doi.org/10.1080/15401381003627350
[27]
Kiracofe, N. M., & Buller, A. E. (2009). Mandated Disciplinary Counseling: Working Effectively with Challenging Clients. Journal of College Counseling, 12, 71-84. https://doi.org/10.1002/j.2161-1882.2009.tb00041.x
[28]
Kiselnikova, N., Spiridonov, V., Lavrova, E., Kuminskaya, E., Markova, S., & Danina, M. (2019). The Development of a Method for Studying Goal Setting in Psychotherapy. Psychology. Journal of Higher School of Economics, 16, 357-377. https://doi.org/10.17323/1813-8918-2019-2-357-377
[29]
Koocher, G. P. (2003). Ethical Issues in Psychotherapy with Adolescents. Journal of Clinical Psychology, 59, 1247-1256. https://doi.org/10.1002/jclp.10215
[30]
Lemma, A. (2016). Introduction to the Practice of Psychoanalytic Psychotherapy (2nd ed.). Wiley. https://doi.org/10.1002/9781119150787
[31]
Lestari, I., Mahfud, A., & Mulawarman, M. (2020). The Value of Local Wisdom in Developing Indigenous Counseling. Jurnal Pendidikan Progresif, 10, 396-403. https://doi.org/10.23960/jpp.v10.i3.202002
[32]
Levenson, J. S. (2010). “But I Didn’t Do It!”: Ethical Treatment of Sex Offenders in Denial. Sexual Abuse, 23, 346-364. https://doi.org/10.1177/1079063210382048
[33]
Li, W., Kang, S., & Shao, Y. (2023). Development of the Reading Literacy Questionnaire for EFL Learners at Primary Schools. Frontiers in Psychology, 14, Article 1154076. https://doi.org/10.3389/fpsyg.2023.1154076
[34]
Lin, K., & Cheung, F. (1999). Mental Health Issues for Asian Americans. Psychiatric Services, 50, 774-780. https://doi.org/10.1176/ps.50.6.774
[35]
Loi, Y., & Chin, S. (2021). Therapeutic Justice—What It Means for the Family Justice System in Singapore. Family Court Review, 59, 423-443. https://doi.org/10.1111/fcre.12587
[36]
Macneil, C. A., Hasty, M. K., Evans, M., Redlich, C., & Berk, M. (2009). The Therapeutic Alliance: Is It Necessary or Sufficient to Engender Positive Outcomes? Acta Neuropsychiatrica, 21, 95-98. https://doi.org/10.1111/j.1601-5215.2009.00372.x
[37]
McMurran, M., & Ward, T. (2010). Treatment Readiness, Treatment Engagement and Behaviour Change. Criminal Behaviour and Mental Health, 20, 75-85. https://doi.org/10.1002/cbm.762
[38]
Meany, J., Rogers, C. R., Dorfman, E., Gordon, T., & Hobbes, N. (1951). Client-Centered Therapy. The American Catholic Sociological Review, 12, 127-128. https://doi.org/10.2307/3707825
[39]
Merkt, H., Wangmo, T., Pageau, F., Liebrenz, M., Devaud Cornaz, C., & Elger, B. (2021). Court-Mandated Patients’ Perspectives on the Psychotherapist’s Dual Loyalty Conflict—Between Ally and Enemy. Frontiers in Psychology, 11, Article 592638. https://doi.org/10.3389/fpsyg.2020.592638
[40]
MSF (2021). Report on Youth Delinquency. The National Committee on Prevention, Rehabilitation and Recidivism.
[41]
Muhammed, S. A., & Imam, S. (2020). Impact of Dual Role of Teaching and Practice on School Counsellors’ Productivity in Nigeria. Journal of Education and Research, 10, 98-118. https://doi.org/10.3126/jer.v10i2.32723
[42]
Mulyana, C. L. P., Budiman, N., & Nadhirah, N. A. (2024). The Impact of Cultural Value Bias on Conscious Decision-Making in Counseling. Suluh: JurnalBimbingan dan Konseling, 9, 53-57. https://doi.org/10.33084/suluh.v9i2.6727
[43]
Purvis, M., Ward, T., & Willis, G. (2011). The Good Lives Model in Practice: Offence Pathways and Case Management. European Journal of Probation, 3, 4-28. https://doi.org/10.1177/206622031100300202
[44]
Robbins, M. S., Feaster, D. J., Horigian, V. E., Rohrbaugh, M., Shoham, V., Bachrach, K. et al. (2011). Brief Strategic Family Therapy versus Treatment as Usual: Results of a Multisite Randomized Trial for Substance Using Adolescents. Journal of Consulting and Clinical Psychology, 79, 713-727. https://doi.org/10.1037/a0025477
[45]
Robertson, M. D., & Walter, G. (2008). Many Faces of the Dual-Role Dilemma in Psychiatric Ethics. Australian & New Zealand Journal of Psychiatry, 42, 228-235. https://doi.org/10.1080/00048670701827291
[46]
Rosenbaum, A., Warnken, W. J., & Grudzinskas, A. J. (2003). Legal and Ethical Issues in the Court-Mandated Treatment of Batterers. Journal of Aggression, Maltreatment & Trauma, 7, 279-303. https://doi.org/10.1300/j146v07n01_12
[47]
Rubin, S. S. (1997). Balancing Duty to Client and Therapist in Supervision. The Clinical Supervisor, 16, 1-23. https://doi.org/10.1300/j001v16n01_01
[48]
Sarfaraz, S. F. (2019). Introduction to Counseling: An Emerging Concept in Clinical Social Work Practice. Journal of Economics and Sustainable Development, 10, 149-156. https://doi.org/10.7176/jesd/10-12-16
[49]
Sass, C., Griffiths, A. W., Shoesmith, E., Charura, D., & Nicholson, P. (2021). Delivering Effective Counselling for People with Dementia and Their Families: Opportunities and Challenges. Counselling and Psychotherapy Research, 22, 175-186. https://doi.org/10.1002/capr.12421
[50]
Shearer, R. A. (2000). Coerced Substance Abuse Counseling Revisited. Journal of Offender Rehabilitation, 30, 153-171. https://doi.org/10.1300/j076v30n03_08
[51]
Shepard, M. F., Pence, E. L., & Weisz, A. N. (2000). Coordinating Community Responses to Domestic Violence: Lessons from Duluth and Beyond. Violence and Victims, 15, 351-352. https://doi.org/10.1891/0886-6708.15.3.351
[52]
Spencer, J., Goode, J., Penix, E. A., Trusty, W., & Swift, J. K. (2019). Developing a Collaborative Relationship with Clients during the Initial Sessions of Psychotherapy. Psychotherapy, 56, 7-10. https://doi.org/10.1037/pst0000208
[53]
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L. et al. (2007). Racial Microaggressions in Everyday Life: Implications for Clinical Practice. American Psychologist, 62, 271-286. https://doi.org/10.1037/0003-066x.62.4.271
[54]
Sue, S., Zane, N., Nagayama Hall, G. C., & Berger, L. K. (2009). The Case for Cultural Competency in Psychotherapeutic Interventions. Annual Review of Psychology, 60, 525-548. https://doi.org/10.1146/annurev.psych.60.110707.163651
[55]
Talib, M. A. (2010). Cultural Influences and Mandated Counseling in Malaysia. Asian Culture and History, 2, 28-33. https://doi.org/10.5539/ach.v2n1p28
[56]
Tomar, P., Tyagi, M., Rajkumar, E., & Manikandaprabu, M. (2016). Cognitive Behaviour Therapy in Forensic Setting: An Overview. International Journal of Indian Psychology, 3, 58-75. https://doi.org/10.25215/0302.160
[57]
Tomaz, V., Moreira, D., & Souza Cruz, O. (2023). Criminal Reactions to Drug-Using Offenders: A Systematic Review of the Effect of Treatment and/or Punishment on Reduction of Drug Use and/or Criminal Recidivism. Frontiers in Psychiatry, 14, Article 935755. https://doi.org/10.3389/fpsyt.2023.935755
[58]
Tudor, K., & Worrall, M. (2006). Person-Centred Therapy. Routledge. https://doi.org/10.4324/9780203965252
[59]
Wang, H., Fong, C., & Tripathi, S. (2024). Loneliness across Cultures: A Pilot Study of the Role of Individualism and Collectivism during the COVID-19 Pandemic. Psychology, 15, 1411-1423. https://doi.org/10.4236/psych.2024.159083
[60]
Willer, B., & Miller, G. H. (1976). Client Involvement in Goal Setting and Its Relationship to Therapeutic Outcome. Journal of Clinical Psychology, 32, 687-690. https://doi.org/10.1002/1097-4679(197607)32:3<687::aid-jclp2270320343>3.0.co;2-v
[61]
Yaman, N. (2021). Working with Resistance in Therapy: A Theoretical Evaluation. IBAD SosyalBilimlerDergisi, No. 9, 481-495. https://doi.org/10.21733/ibad.835243
[62]
Younggren, J. N., & Harris, E. A. (2008). Can You Keep a Secret? Confidentiality in Psychotherapy. Journal of Clinical Psychology, 64, 589-600. https://doi.org/10.1002/jclp.20480